HOUSE BILL NO. 5365

January 21, 2020, Introduced by Reps. Cherry, Sneller, Garza, Coleman, Whitsett, Pohutsky, Gay-Dagnogo, Hood, Kennedy, Stone, Rabhi, Ellison, Yancey, Tate, Bolden, Anthony, Manoogian, Tyrone Carter, Hope, Kuppa, Brixie, Sowerby, Guerra, Sabo, Brenda Carter, Hammoud, Clemente, Peterson, Lasinski, Wittenberg, Warren, Jones and Love and referred to the Committee on Health Policy.

A bill to amend 1978 PA 368, entitled

"Public health code,"

(MCL 333.1101 to 333.25211) by adding section 5474d.

the people of the state of michigan enact:

Sec. 5474d. (1) Beginning January 1, 2021, a physician treating a patient who is a minor shall do both of the following:

(a) Screen the minor for lead poisoning at the intervals and using the methods specified by the department by rule.

(b) Make an entry of the screening on the minor's certificate of immunization.

(2) The department shall promulgate rules to implement this section. The rules must include, but are not limited to, all of the following:

(a) A requirement that a minor residing in this state is screened once between the ages of 9 and 12 months old and is screened again at the ages of 2 and 3 years old.

(b) The identification of geographic areas in this state that pose a high risk for childhood lead poisoning and a requirement that a minor who is 4 years old be screened if the minor resides in an area described in this subdivision.

(c) Factors to identify a minor who is at high risk for lead poisoning. The factors must include, but are not limited to, residing in a home where other minors have been diagnosed with lead poisoning and residing in a home that was built before 1978 that has not undergone a visual inspection for risk assessment.

(d) A requirement that a minor is screened at intervals determined by the department if a physician determines that the minor is at high risk for lead poisoning, either by applying the factors described in subdivision (c) or through the physician's own independent medical judgment.

(3) This section does not apply to a minor whose parent, guardian, or person in loco parentis objects to a screening on religious grounds.

(4) As used in this section, "certificate of immunization" means the certificate described in section 9206.

Enacting section 1. This amendatory act does not take effect unless Senate Bill No.____ or House Bill No. 5363 (request no. 04817'19) of the 100th Legislature is enacted into law.